FAYETTEVILLE FAMILY MEDICAL CARE, PA (NPI# 1265707228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265707228 |
Entity Type | Organization |
Organization Name | FAYETTEVILLE FAMILY MEDICAL CARE, PA |
Other Organization Name | FAYETTEVILLE FAMILY PHARMACY |
Practice Address |
1307 Avon St Fayetteville NC 28304-4423 |
Practice Telephone | 9103231718 |
Practice Fax Number | 9103233834 |
Mailing Telephone | 9103231718 |
Mailing Fax Number | 9103233834 |
Enumeration Date | 2012-03-09 |
Last Update Date | 2012-03-09 |
Authorized Official Name | MRS. ALICE M KUGLER (ADMINISTRATOR) |
Authorized Official Telephone | 9103231718 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
07787 | NC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBS | 048YU | 01 |
Other Name | Type Code |
---|---|
Fayetteville Family Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073518536 | Fayetteville Family Medical Care, Pa | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2005-06-20 |
Street Address |
1307 AVON ST |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28304-4423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073518536 | Fayetteville Family Medical Care, Pa | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2005-06-20 |
1619490679 | Erika Rae Mcclain | Pharmacist | 1307 Avon St, Fayetteville, NC 28304-4423 | 2017-07-21 |
1548704042 | Cumberland County Hospital System Inc | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2016-12-19 |
1336517507 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1307 Avon St, Fayetteville, NC 28304-4423 | 2015-09-04 |
1558789735 | Jennifer Overby Hall | Physician Assistant | 1307 Avon St, Fayetteville, NC 28304-4423 | 2014-04-03 |
1154643898 | Sarah Allen Fazekas | Nurse Practitioner | 1307 Avon St, Fayetteville, NC 28304-4423 | 2010-02-22 |
1184679284 | Joshua A. Trujillo | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2006-05-24 |
1447240072 | Sharon S Mitchell | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2005-10-25 |
1316937972 | Brian K Fleming | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2005-10-25 |
1841280401 | Carolyn M Sampson | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2005-10-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
Find all providers in zip 28304 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528547718 | Fayetteville State University | Pharmacy | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2018-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629691555 | Grey & Teal | Pharmacy | 7910 Us Hwy 117 S Unit 110, Rocky Point, NC 28457-7409 | 2020-05-27 |
1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
1548743826 | Asheville Mountain Pharmacy Inc | Pharmacy | 1272 Tunnel Rd Ste 20, Asheville, NC 28805-2100 | 2018-09-12 |
1770006355 | Surry Medical Ministries Clinic | Pharmacy | 813 Rockford St, Mount Airy, NC 27030-5321 | 2017-07-25 |
1235514860 | Student Stores Pharmacy | Pharmacy | Cb 1530 Daniels Building, 207 South Road, Chapel Hill, NC 27599-0001 | 2015-07-24 |
1366863144 | Helping Hands Clinic, Inc. | Pharmacy | 810 Harper Ave Nw, Lenoir, NC 28645-5083 | 2013-12-23 |
1174876189 | Campbell University Health Center, LLC | Pharmacy | 129 T. T. Lanier Street, Buies Creek, NC 27506 | 2012-10-16 |
1942535232 | Quality Care Pharmacy of The Sandhills | Pharmacy | 1103 Seven Lakes Drive, 6541 Seven Lakes Village, West End, NC 27376-9314 | 2009-10-05 |
1144355116 | Forsyth County North Carolina | Pharmacy | 725 N. Highland Ave, Winston-salem, NC 27101-4299 | 2007-02-22 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 28304 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.